对未来的回忆

G. Gerasimov
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引用次数: 0

摘要

我们屏住呼吸,遵循长期受苦的法律的命运,预防因缺碘引起的疾病。在通过并成功实施这一法案之后,在改善公众健康方面可以期待什么?该法案规定用碘富集特级、高级和一级品种的食用盐,研磨0号和1号。此外,在含有食用盐的烘焙产品的生产中,加碘盐的使用将成为强制性的。根据许多远近国家的经验,在开始实施强制性食盐加碘规划后的23年内,地方性甲状腺肿的发病率(有时)可以显著降低。这一趋势不会在随后的几年里消失。在中期(大约10年后),俄罗斯甲状腺毒症的发病率预计也会下降(一半或更多)。然而,在短期内(57年),60岁以上人群的甲状腺毒症发病率可能会短暂增加,这可以被认为是对以前缺碘的一种补偿。亚临床和可能的明显甲状腺功能减退的发病率增加的趋势可能会继续,但这不会是碘供应增加的结果。在强制食盐加碘的背景下,优化碘的摄入应该可以减少新生儿短暂性甲状腺功能紊乱的频率,也可能减少先天性甲状腺功能减退的频率。
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Memories of the future
With bated breath we follow the fate of the long-suffering law On the prevention of diseases caused by iodine deficiency. What can be expected in terms of improving public health after the adoption and successful implementation of this bill, which provides for the enrichment with iodine of edible salt of extra, higher and first varieties, grinding No. 0 and No. 1? In addition, in the production of bakery products, the recipe of which contains edible salt, the use of iodized salt will become mandatory. According to the experience of many near and far countries, within 23 years from the start of the program of mandatory salt iodization, one can expect a significant (at times) reduction in the incidence of endemic goiter. This trend will not exhaust itself in subsequent years. In the medium term (after about 10 years), a decrease (by half or more) in the incidence of thyrotoxicosis can also be expected in Russia. However, in the short term (57 years), a transient increase in the incidence of thyrotoxicosis in people over 60 years of age is possible, which can be considered a kind of payment for the previous iodine deficiency. The trend towards an increase in the incidence of subclinical and, possibly, manifest hypothyroidism may continue, but this will not be a consequence of an increase in iodine supply. Optimization of iodine intake against the background of mandatory salt iodization should reduce the frequency of transient disorders of thyroid function in newborns and, possibly, congenital hypothyroidism.
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Associations of thyroid status and thyroperoxidase antibodies with serum trace elements Features of achieving compensation of hypothyroisis in pregnant women Structural and morphologic characteristics of nodular goiter in chronic iodine deficiency status Investigation of neural network models application in EU-TIRADS thyroid nodules classification for personalization of thyroid gland ultrasound diagnostic Press release from the Endocrine Society ENDO 2022 Annual Conference
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